Individual
CHASE PENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
(817) 875-0418
Mailing address
317 STONE HEDGE CT, HOLLY SPRINGS, NC 27540-8640
(817) 875-0418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10606
NC
Other
Enumeration date
07/13/2020
Last updated
09/23/2020
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